Dr. Wain
Diabetology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Education:
MBBS
Professional Bio:
Dr.Wain is a highly skilled and established physician in the field of Diabetology, Family Physician, General Practitioner. He is an expert in tackling any complicated medical cases and can provide an expert opinion.
This doctor is not available for online consultations on the platform anymore.
Dr. Wain
Medically reviewed by
Patient's Query
Hello doctor,
I recently did a glucose tolerance test, where insulin levels were measured at 0 minutes, 60 minutes, and 120 minutes. The results are 0 Minute: Glucose 4.74 mmol/l, Insulin 11.2 uIU/ml, 60 Minure: Glucose 8.71 mmol/l, Insulin 104.3 uIU/ml and 120 Minute: Glucose 5.07 mmol/l, Insulin 13.16 uIU/ml. I can see that the glucose is within normal reference numbers, but on the 60th minute, the insulin seems too high. Is it? What are the reference numbers for insulin on the 60th minute? Is this a sign of insulin resistance? What would you recommend as a treatment?
Hello,
Welcome to icliniq.com.
I would like to see the image of your reports and would also like to know, if have you undergone the HbA1c test. How long have you been diabetic, have you been on oral antidiabetics?
Patient's Query
Hello doctor,
Thank you for your answer. I am attaching the image. I am not diabetic; at least, I have not been diagnosed. I do not have an HbA1c test, and I have not taken any medications so far.
Hello,
Welcome back to icliniq.com.
I have seen your lipid profile test (attachment removed to protect patient identity), OGTT (oral glucose tolerance test) and insulin levels. Whatever is being reflected from the investigation reports you have sent me, we need to control your cholesterol level. Yes, you seem to lie in IFG (impaired fasting glycemia) category. Since you are in the high-risk category because of your deranged BMI (body mass index), you have a higher weight and need to achieve a target of at least 171 pounds of weight in three months. That will help bring down your cholesterol and BMI and control your deranged blood sugar. Just remember, you are a young chap; if you do not change your lifestyle now, it will lead to the early onset of diabetes, obesity, and dyslipidemia. Therefore, I am starting you on an exercise regimen and only one medication to check and bring down your deranged parameters. I suggest: Thyroid profile (T3, T4, TSH, fT3, and fT4), Brisk walk five days a week, Tablet Rosuvastatin 5 mg once daily after lunch for four weeks, Reduce oil and fats, and stop junk food. Follow up after four weeks with Kidney function test, Liver function test, Lipid profile, Thyroid profile, Fasting blood sugar, Oral glucose tolerance test and HbA1c.
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Dr. Wain
Diabetology
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